Individual
WENDY BRADY REGISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 W OGLETHORPE HWY, HINESVILLE, GA 31313-4415
(912) 910-3777
(912) 292-0005
Mailing address
604 W OGLETHORPE HWY, HINESVILLE, GA 31313-4415
(912) 910-3777
(912) 292-0005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN199372
GA
208VP0000X
Pain Medicine Physician
RN199372
GA
363L00000X
Nurse Practitioner
Primary
RN199372
GA
363LF0000X
Family Nurse Practitioner
RN199372
GA
Other
Enumeration date
09/24/2017
Last updated
10/10/2023
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